Massage info on Pathology Flashcards
Skin Cancer
any tumor is local contraindicatation
Fibromyalgia
Gentle Massage and NO Ice or cold massage.
Important not to treat trigger points with deep or aggressive pressure. Use shorter pulsing gentle pressure in trigger points.
Myofascial Pain Syndrome
Massage is indicated to help clean up debris left behind from chronic muscle tightness
Myositis Ossificans
always local contraindication. If injury is acute it is unwise to increase bleeding or impair the healing process by stimulating and stretching the affected tissue.
Shin Splints
Swedish is contraindicated when acute to rule out compartment syndrome.
as long as it is not to advanced, Massage is indicated.
Spasms, Cramps
Ischemic or exercise related cramps indicate massage as long as the ischemia isn’t relasted to a contraindicating condition.
even with underlying pathology has been ruled out massage must be used with caution. It is best to use gentle stretch of the tendon and antagonists of the cramping muscle.
Strains
Locally contraindicated while in acute stage. RICE Swedish massageindicated when subacute.
Superior centripedal flushing can decrease swelling. supportive when subacute
Fractures
acute or unset broken bones are locally contraindicated for massage.
Osteoporosis
Indicated with caution for the clients resilience.
Postural Deviations
Massage is indicated if no other contraindication is present.
Ankylosing Spondylitis
Joint disorder: Always work in conjunction with healthcare provider. Swedish Massage is indicated if not in flare up.
Dislocations
Locally contraindicated while in acute: otherwise supportive
an old dislocation that occasionally subluxates or even entirely dislocates
without trauma, massage will do no harm as long as care is taken to be sure he or she is positioned in a way that feels safe and comfortable
Gout
Gout systemically contraindicates massage when in acute. Gouty joints locally contraindicate massage at all times.
Ice is contraindicated lowering the temp promotes crystal formation.
Osteoarthritis
Indicated during subacute stage. Reduces pain through release of the muscles surrounding the affected joints
and to maintain range of motion through gentle stretching and passive range of motion.
Patellofemoral Syndrome
PFS indicates massage as long as the knee isn’t acutely inflamed.
Rheumatoid Arthritis
Contraindicated during Acute (flare) phase.
Indicated during subacute phasewithin clients tolerance.
Spondylosis
Massage is appropriate with caution. if bone spurs are irratating nerves the surrounding muscles tend to splint
them against painful movement. Highly recommended to work with a primary caregiver who has a complete set of MRI or Radiographs.
Sprains
Locally contraindicated when in acute; proximal flushing can decrease swelling, supportive when in acute.
Massage is great for sprains It can reduce adhesions and influence the direction of new collgen fibers.
Temporomandibular Joint Disorder
Massage can be useful in the teeth clinching stages of TMJ problems,
Muscular Dystrophy
massage is okay along with physical therapy to stretch muscles. working along with physical therapists.
bursitis
local contraindication while acute phase. Massage is indicated for the rest of the body, when there is no infection.
hernia
locally contraindicated any deep massage
Plantar Fasciiitis
Massage is indicated responds well to bodywork.
tenosynovitis
locally contraindicated while acute; proximal centripedal flushing can help decrease swelling. Supportive when subacute.
Whiplash
Locally contraindicated when acute. Indicated while subacute.
Carpal Tunnel Syndrome
Indicated if massage does not elicit symptoms; stay within pain tolerance
Low back pain
Indicated when Subacute; work to alleviate compensatory distortion when muscle splinting is no longer necessary.
Thoracic Outlet Syndrome
Indicated, especially when pain is muscular.
Multiple Sclerosis
Massage indicated in subacute stages. Care must be taken not to overstimulate the client. Symptoms may also be exacerbated by the heat.
Peripheral Neuropathy
supportive but be cautious about reduced sensation and staying within pain tolerance
dystonia/torticollis
Supportive massage can reinforce a parasympathetic state.
Parkinson Disease
Indicated; can help with sleep and rigidity. Clients may need assistance getting on and off the table.
Postpolio syndrome
Contraindicated while acute; otherwise indicated for improved muscle function.
Anxiety Disorders
Indicated can help reinforce parasympathetic state if client feels safe.
relaxation techniques, breathing exercises, and biofeedback are often taught to anxiety disorder patients.
Depression
Massage is indicated can help restore a healthy stress response system.
Bell’s Palsy
Indicated for massage but important to rule out causes of the nerve damage that may contraindicate massage.
Massage keeps facial muscles elastic and local circulation strong. Sets the stage for more complete recovery when more nerve supply is eventually restored.
Cerebral Palsy
Massage is supportive with caution for clear communication between client and therapist.
Stroke
Massage can play a role in recovery of stroke survivor, but some cautions must be considered.
clients cardiovascular health must be considered. Important to work with health care provider.
Headaches
Headaches due to infection or CNS injury contraindicate massage person with vascular headache generally avoid stimuli like massage. Massage is indicated for tension headaches.
Seizure Disorders
Massage is indicated unless client is having a seizure. If client has a seizure during massage make sure they are safe and wait until seizure has subsided. If client has trouble breathing at any time or is injured during seizure call 911.
it is important to ask client how they want to be treated if they should have a seizure during treatment.
Embolism, Thrombus
Massage is systemically contraindicated, later be aware that anticoagulant use requires Gentle touch.
PNF/ MET/ Stretching is supportive.
Polarity is indicated can help reinforce a parasympathetic state.
Thrombophlebitis
Massage is contraindicated refer client to seek medical attention immediately. Client may be complaining of deep ache in calf that they want worked out. This could lead to the massage therapist working out a blood clot that will land the client in the hospital. It is best to refer client to a primary healthcare provider.
Atherosclerosis
Depends on clients homeostasis level. Deep tissue is contraindicated during advanced stage.
Lyphatic drainage is supportive.
Polarity is indicated within clients comfort.
PNF/MET/Stretching is supportive
Swedish is indicated for parasympathetic effec stay within activity
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